tv MSNBC News Live PBS June 13, 2010 11:00am-12:00pm EDT
and we see, what can the effect be? they brought in a group of people and they found that the effect can be almost as strong as cholesterol-lowering drugs. and it happens very fast. just in a matter of a couple of weeks. now what if i need to boost my hdl, my good cholesterol? you remember when we were talking about "h" is high. you want it high because you want the dump trucks carrying cholesterol out. well exercise will do that. exercise is good in every way and one of the benefits is it can boost your hdl by several points. vitamin c-rich foods, you know what i'm talking about, things like oranges, citrus fruits, many others, they also will boost your hdl, which is good. what if i need to lower my triglycerides? you have a lot of control over that in many cases. going low fat is good. going low glycemic index, that means keeping sugars and white bread low. and exercise is great there too. all right. let's shift gears. what if my problem is my blood pressure? blood pressure is high, and i need medications to
keep it down. we really need to keep that under control because high blood pressure is tough on your heart, it's tough on your arteries. so when your doctor or your health care provider says 120 over 80 or 100 over 80, what do those numbers mean? well that first number, the 120, well, that's your pulse, as your heart is beating, and it sends a wave into your arteries, that's the systolic number, the first number in your reading. the second number is diastolic, that's the reading of the relaxation in between. so we go up to 120, down to 80, up to 120, and down. so we want both to be fairly low. so what should our goal be? a good healthy blood pressure is anywhere below 130 over 80. so what can we do to keep our blood pressure down? the first thing they're going to say is cut down on sodium.
that's a good idea, avoiding salt. it's a good idea. but for a lot of folks, they don't quite get as much benefit as what they're really looking for. they're not able to get away from the medication. so let's add a little bit more. vegetables and fruits are typically low in sodium and they're high in something called potassium. that seems to help us keep our blood pressure down. vegan diets will do it. exercise will do it as well. and if you put that all together, you get a very nice blood sugar lowering effect. now the good thing is, you don't need one good diet for diabetes, another diet for your weight, if you're on a plant-based diet that's low in fat, keep the sodium low, it all works together very very well. it controls your blood pressure all together. okay. so let's put this all together. let's see how we can take good care of ourselves from the top of our heads to the bottom of our feet. let's start with our eyes. if your blood sugar is high, your vision can get blurry, and there are some very good points. you definitely want to keep your blood glucose under control. but the second is, don't get new glasses when your blood sugar is too high, because as your blood sugar
comes back down, you'll have a new prescription. but you don't want to keep a high blood sugar. this could be harmful the tiny little vessels in the retina in the back of your eye. so you want to have good control of your blood sugar, but also get a dilated eye exam. as soon as you're diagnosed, and about every year after that. now, looking at our mouth, did you know that high blood sugar can actually affect your mouth? it can affect your gums and create inflammation. and it goes the reverse way too, if you've got inflamed gums, it's like having a sore anywhere else on your body, that can cause your blood sugar to rise. so take good care of your teeth and gums. brush after meals, floss regularly, see your dentist twice a year as well. okay? let's come down to our heart. we talked about our eyes, our gums, let's talk about our heart. you know you want to keep a cholesterol that's healthy, that's in the low range, and your ldl, keep that under 100, some would say 80 even 70. keep your blood pressure in good control, 130 over 80 or even below that.
and a good diet helps all of these things. now, it may well be that a diet doesn't get to where you need to be. so if that's the case, you want to talk to your healthcare provider about whether medications may be needed. but if that's the case, you want to be in touch with your healthcare provider as time goes on, because sometimes when you change your diet, you make things healthier and healthier, you don't need so much medication. let your doctor or your healthcare provider work with you. to continue or reduce medications when that time comes. some doctors will say, use aspirin every day. that's good advice. stay physically active. don't smoke. and by the way, it's not just your heart that's glad that you're not smoking, it's your lungs. and your kids and everybody else too. okay? alright, we talked about our heart, let's talk about our kidneys. so many people with diabetes are heading towards dialysis. or they're heading toward that line where they need a kidney transplant. it's one of the leading causes of that, and you don't want to be in that situation at all. and there's a lot that you can do. so your healthcare provider are going to do
some tests. they're going to do blood tests, they'll do urine tests, that say how well our kidneys are filtering our blood. there's a lot that we can do to keep them young. a vegan diet that's low in fat, low glycemic index helps. to lower our blood sugar, our cholesterol, our blood pressure, and that really takes pressure off our kidneys. but there's something else. did you know that protein affects our kidneys? we think of protein as a good thing, and it is, it's important. but the kind of protein we eat makes a big difference. generally speaking, animal protein is a little bit harder on our kidneys than plant protein. so if you're doing beans and whole grains, it's a lot better on your kidneys. if you're getting lots of meat protein, it's harder on your kidneys to deal with. and it can cause a little bit of acceleration with kidney loss over time. let's talk about erectile dysfunction. we can't get through the evening news without a lot of commercials about it and there's only one reason a lot of people have it.
and it really is true, that diabetes can affect your private parts. for men that means erectile dysfunction and for women that means vaginal dryness, yeast infections. and for both men and women it can mean you're tired. and you've got no libido. and you know what i'm talking about. so diet changes can help. and there are of course, medications available and doctors are quite happy to prescribe for you if you need that kind of thing. okay, let's talk about healthy bones. as time goes on, your bones can lose their resilience. osteoporosis, bone thinning, well, a lot of people say, well, don't worry about that. i've been drinking my milk with my meals and so i shouldn't get osteoporosis. and the problem is, that those same people will get tested and they may have osteoporosis anyway. at harvard university, they tracked a group of women for over 18 years and they were surprised to find that the women who drank the most milk, had as many fractures as the women who avoided milk. so don't get me wrong, you need calcium, but there doesn't seem to be any particular benefit
in getting calcium from milk, and milk drinkers don't get calcium protection. so what can you do? well, we do need calcium, so green leafy vegetables, like broccoli, collards, kale, they'll give you the calcium you need, and i've got one exception: spinach. spinach is very healthy, popeye loved it, and it has a lot of calcium, but spinach is a selfish vegetable. it won't give you its calcium, it's got calcium but it's very poorly absorbed, i'm sorry to say. there's also a lot of calcium in beans, and beans by the way, i really need a lobby to promote them, they've got protein, they've got iron, they do have calcium, they have a lot of benefits. so'm going to cheer my neglected friend, the bean! um, exercise. you've heard me talk about exercise and it's really great. not just for your heart but for diabetes and it really helps your bones. if you take a tennis player and you look at the tennis player's tennis arm, and you look at their other arm. they have stronger bones in the arm that they're using. and the reason for that is as the muscles contract,
over and over and over again, the bone that they're pulling against gets gradually stronger and stronger and stronger. so you can do that for your whole body. exercise is a big help. alright? now, there's something else. animal protein,e were talking about that in the kidneys, but there's something about it in the bones. they're what are called sulphur containing amino acids, in animal protein. more than in plant protein. and that in the blood, they turn to sulphate that sweeps the calcium out. once again, it's a good idea to get protein from plant sources. one other thing. sodium. did you know that sodium doesn't just affect blood pressure, it can affect your bones. when i was a kid growing up in north dakota, it was very cold in the wintertime and we would take salt and put it on the sidewalk and it would sort of dissolve that ice away. well, salt will dissolve your bones in a way, in a matter of speaking. and the idea is that if i'm on a high salt diet,
sodium goes through the kidneys and it carries the calcium along with it. so low sodium is a good way to go all across the board. now vegetables and fruits are good for the bones, nobody knows exactly why but for some reason people who eat a lot of vegetables and fruits, they have stronger bones. make sense? alright, we're down to our feet. it's really important that we take good care of our feet, because diabetes can assault the feet. and if you think about it, the blood has to go all the way from your heart, down your legs, and all the way down to your feet. and if every minute of every day, that high blood sugar is assaulting our blood vessels, then they don't stand a chance. so you want to keep an eye on your feet, take a look at them, and make sure that if you have a cut, that you care for it properly. have somebody else take care of them for you. especially, don't soak your feet. that can often dry them out and over the course of the long run, make it more likely that you're going to have some problems. if you get a cut, if you get a blister, keep it dry, keep it clean, have somebody else treat it. have your doctor check your feet,
that's a good idea. by the way, if your doctor doesn't check your feet, go in the exam room, kick your shoes and socks off and stick your feet in front and your doctor can't miss them. okay? if you have some ill-fitting shoes, don't wear them all the time, give them a break, wear some other shoes, break them in gradually. okay? make sense? okay. so let's put all of this together. every single day, let's eat a real healthful diet. and you know what that means. lots of vegetables and fruits and whole grains and beans, and it also means being a good self-monitor. so you want to check your blood glucose, check it regularly. now, if you have medications, take them as you need them. but one thing is really important. your medication needs might drop. you're on a healthy diet, you're exercising, your doctor might well say, you know, your blood sugar is lower than before, so work with your healthcare provider to back off your medicine when the time is right. i have to tell you that it feels really great to be able to get rid of those prescriptions, but have that decision be between you and your healthcare provider.
okay, between two and four times a year, you want to have a hemoglobin a1c test, you want to check your blood pressure, and have your doctor check your feet. also, don't forget to see your dentist. now, about every year it's a good idea to have a cholesterol test. and you know what the numbers mean now. also, your doctor will have a urine test for albumin, and have a dilated eye exam to see how your eyes are doing. and you might consider getting a flu shot or maybe even an ammonia shot. alright, by now you're probably thinking, i get it. i can see what a healthy diet is, but how am i going to get from where i am now to what you're suggesting i do? alright, i have two steps and i have never seen anybody who can't make this work. step one is don't change your diet. you're not ready. you have never followed a healthful diet, you don't need to start right now. take a week, take a couple of weeks. everyday is bacon and eggs, well, go to the store and get some old-fashioned oatmeal and if it tastes to you like wallpaper paste, then get some cinnamon and raisins and flavor it up. now if on the other hand, you really want to make
some recipes, well, we have a lot of recipes that you can try, and experiment with them, finds the ones you like. now i would say that about half my patients in my research study have the room service gene. what i mean is, they are not gonna cook, they are never going to cook, and they're eating convenience foods. and if that's you, go to the store, they've got vegan pizza, right next to the other one. buy the convenience foods, heat them up and see which ones you really like. then, that's step one, finding the foods you like. then step 2, is take a 3-week test drive. take 21 days, not for the rest of my life, but just for three weeks, i'm going to try this diet and see what it's like. and at the end of that period of time, two things happen. the first is, you're a little bit healthier. you're losing weight, your blood sugar is coming down, your energy is coming back. if you had a digestive problem, that's gone. but the second thing is, your tastes have changed. and you won't believe me. how many of you have switched from whole milk to skim milk? okay, when you did, what was the skim milk like at first?
it's watery, it didn't even look right, did it? okay, after about two to three weeks, did you get used to it? yeah? and then did you go back and taste whole milk then? what was that like? it's too thick. it's almost like paint. okay, wait. if i go on a vegan diet, it will seem too light at first. but after a couple weeks, you will get used to it. and then go back and have a double bacon cheeseburger. it's not the joyful experience you remembered. okay? my two steps, you can do it. taking control of diabetes is critical. not just for us, but especially for our children. according to the centers for disease control and prevention, one in every three children born since the year 200 is going to develop diabetes. but right now we have the tools to change all that, not just for us, but for them. and for the next generation. diabetes really does affect us from head to toe. but a healthy diet and a healthy lifestyle can protect us from head to toe and that can help you take control. thank you.
instead of managing diabetes with more and more sc w of diabetes with less scripts, that's the bottom line isn't it doctor? dr. neal barnard: exactly, i've talked about one of our patients named vance who came into the study he'd been a washington dc policeman for twelve years, his father was dead by age 30, vance was 31 when he was diagnosed with diabetes, but like a lot of people it wasn't just that, he was overweight, he had other health problems too, but he lost 60 pounds, not by saying no to calories, not by counting carbohydrates, but by eating healthier foods, he lost 60 pounds, his diabetes levels all went back to normal, his doctor took him off all his medications and when i asked him if i could tell his story, he said, tell people that my erectile dysfunction stopped too and i'll tell you, if you want to get men's attention. diane bliss: well, we'd like to get your attention because this is our very last break friends, we'll be gone in no time, dr. barnard is going to have to go back to all of his research work and all
of the wonderful investigation that is giving us the results with a better life, friends, you take the step right now, because that combo doctor, has the three books in it and it has not only the program we're watching on dvd, but in addition there are two bonus sections on the dvd, all for $275 pledge. tell us a little more about the bonus material. dr. neal barnard: ok, and i know we only have just a couple minutes left. diane bliss: ok dr. neal barnard: so i hope people will please do make a call right now, this dvd does have everything that you've seen, but a lot more. we'll take you into a grocery store, we'll show you exactly what foods to get, we'll give you a forty-five minute personal cooking lesson from chef toni fiore , you will love it, plus the recipes are all written out for you and this book for reversing diabetes shows you not just how to reverse diabetes, how to get on lower and lower medicines, how to lower your cholesterol, how to lose weight and a whole, many more recipes, foods that fight pain, do you have joint pain, do you have headaches, do you have back pain? let me show you how foods can help.
and if you're stuck on chocolate, sugar whatever it is, let me show you steps for breaking free, all of these have a lifetime set of recipes for you. diane bliss: call right now, make that $275 pledge, you will be so glad and on behalf of a loved one, make sure you take care of them as well. fred nahhat: and help take care of your public television station when you sign up and you make a gift of support right now, you help this station and this service continue other great programs and services in your community and in your life. so pick up that phone right now, call the number on the screen and make a pledge of support. at the $75 giving level we're going to send along to you the dvd with the program, a new approach to nutrition for diabetes from neal barnard, m.d., our way of saying thank you at that giving level. there is some bonus material on it, first of all, forty-one minutes with chef toni fiore demonstrating how to prepare fast and satisfying recipes that eliminate the need for calorie counting or restricting your portions. uh, in addition to that we're going to help you
find those treasures in the grocery store, so think about that. there's also four additional inspirational stories on the dvd, and this is a practical application that you can follow step by step in your own life, so not one, but over two additional hours of content, three hours on the dvd, our way of saying thank you at the $75 giving level. at the $90 giving level, we have the book, dr. neal barnard's program for reversing diabetes the research and this is divided into very easy to understand, easy to apply sections and subsections that help you make a difference in your life. then at the $275 giving level, it's the dvd, that book, plus two additional books, breaking the food seduction and foods that fight pain, that the doctor was talking about, our way of saying thank you for the $275 pledge to public tv. man: i'd say about two months in, i really saw an effect on my energy, uh, my weight started to drop, down from 340 at my
heaviest is a 120 pounds, my eyesight started to return normal, i used to have these horrible lower back problems that i don't have anymore, and uh, after i made that change, i could go out, i could take classes, i could go to the gym, i could go see a movie, i could do work, and i could do it all in the same day. narrator: as a viewer of this pbs station we hope you're financial support is a natural fit. at the $275 giving level, public tv and your health will say thanks with tackling diabetes dvd you'll also receive dr. neal barnard's book, reversing diabetes without prescriptions as well as his must have guide for breaking the food seduction. learn the seven steps to fighting food cravings naturally when becoming a vegan. also in the combo dr. barnard's book foods that fight pain, it's our thanks for your $275 financial contribution to this station and your personal wellbeing.
diane bliss: dr. barnard you have given so many people such a new lease on life, i mean you get these testimonials coming back to you, people like, well you met frank a little earlier, telling us stories of success after success, it's really happening isn't it? dr. neal barnard: it happens so often nancy came into our office, she was 60 years old, she had not only diabetes, and a lot of weight to lose, but she also had terrible joint pain. if you've got arthritis, you think people who make those vacuum pack jars are sadists, because you can't get them open! well not only did she lose 40 pounds, her, her, she was on two diabetes medicines, came off both of them and her control was better than before, but best of all her arthritis then went away. now everybody gets a different result, see you doctor and talk to your doctor, is this the approach i ought to be using and you know what your doctor is going to be delighted because you will working together, i don't care how old you are, i don't care how bad your energy is, i don't care how long you have had your health conditions, now is the time to take the power of food into your hands, get your body into the
path towards healing, feeling better, i know we've just got another minute or two, but i hope people will not pass this up, now is the time to regain your health and feel great again, get your energy back! diane bliss: dr. barnard your energy is infectious, people all across are calling right now, so if you get a busy signal, hang in there we've just got a few more minutes with dr. barnard, keep on trying to get your calls in, because this assortment of books is not readily available elsewhere, you'd have to scourer far and wide, but right now by making one phone call to one public television station, you get it all. you get the entire combo for a gift of $275. dr. neal barnard: get it all, get rid of that pain, get rid of that illness, feel good, get your energy back and get all of these recipes and you'll enjoy how the foods tasty and you'll enjoy how your body feels. diane bliss: best yet you'll enjoy public television even more because you have become a member and we welcome you! fred nahhat: well is it possible that 1 in 3 children will develop type 2 diabetes over the course of their lifetime, every third person you see,
is that possible? uh, yourself, your loved ones and whether your genetically prone or if it's something you're doing with your lifestyle, this program, this research, has come up with some conclusions to help you and it's bottom up research, it's low glycemic index foods, it's eliminating the animal products, and there's going to a total vegan diet and those vegetables as well. now this was all founded with research that led to those conclusions, not the other way around and that's what we do on public television, we give you the research, then tell you what the headline is and on this program we are continuing to do that. well if you'd like to make a pledge at the $75 giving level, we have the dvd available for your gift right now, it's a new approach to nutrition for diabetes from dr. neal barnard and it features some bonus material, a shopping tour in the grocery store and of course delicious recipes on how to go vegan, how to prepare some delicious recipes and really improve your lifestyle with new and
interesting foods, that maybe you've never tried before. we're going to show you how to do that on the dvd. there's also the $90 giving level, the book which i guess is the basis for all of this, from dr. barnard, this is the program for reversing diabetes, the scientifically proven system for reversing it without drugs, well these are the kinds of subjects we like to tackle together on public television you help us to do that, when you make a pledge. diane bliss: check this out, banana snack cake with creamy fudge frosting, i'm loving it already doctor, it's incredible, but breaking the food seduction is such an empowering book because you don't have to give it up, you don't even have to feel like you're giving it up because you're feeling a whole new sense of empowerment without all those pains to straddle you. dr. neal barnard: the old fashioned approach said you've got to count calories, you have to eat less food, and if it, you know, if it's seven o'clock and you've hit your calorie limit, tough luck, you've got to go hungry, the truth is, if you eat healthy foods i don't care how much food you put into your system, go ahead and eat healthy foods and for this book,
breaking the food seduction, i knew that there were people, maybe you're one of them, who's got a little bit of a sweet tooth, i mean who doesn't. diane bliss: yes! dr. neal barnard: sugar, chocolate, for some people it's cheese, for a lot of men they want their steak and the doctor's saying you know this is a problem, well i want to show you why it is and how to break free from those foods, and also, the healthiest choices for you. so you don't have to feel deprived, but at the same time let me be clear, these are healthy foods, these are foods to bring you back to feeling good again, that's our goal. diane bliss: and our goal right now is to have you connect with public television because we are just about a minute or two away from saying goodbye to dr. barnard, at least for right now, i have a feeling you're going to be back on public television. dr. neal barnard: i think one thing that i want to make sure everybody knows is sometimes as the years go by we think, it's too late for me, a one of the people in our recent study had had diabetes for 19 years, he was on insulin three times a day, and he thought, i'll try this but i can't imagine it will help, his worse problem was neuropathy, that's a terrible pain that happens in your feet.
diane bliss: oh, yes. dr. neal barnard: within 6 months, it was gone. he was on less medicine doing better than before, his pain was gone, it's like you get your life back and then when your energy is back you feel like exercising, you feel like taking care of yourself, you are a better parent, better grandparent, your life is coming back to you. diane bliss: friends it makes a huge difference and you have the power right now with one phone call to start the ball of change and it will be a positive change. call now, support public tv. fred nahhat: and when you do call we are going to make available to you these additional tools, this support material that we'll send along to you when you make a gift. public television supports you in so, so many ways on television with programming like this and news and information, uh children's programs, science and nature and very specific topics like diabetes and for so many people that may be top of mind, the number one subject in your life, is how do i tackle type 2 diabetes? it can put you back in your chair a little bit when a doctor might say to you,
you know what you have this thing it's called adult onset diabetes or type 2 diabetes and when you hear words like that from a medical professional it becomes foremost in your thoughts, well with this program we're able to provide you additional strategies and it doesn't have to be hard work it can be fun and delicious too, looking at the glycemic index for foods, going vegan or vegetarian or even making sure you're eliminating those oils in your life. very simple sounding steps that you can take, and isn't it nice to know that when you see programming like this on public television, we support you with the content, you support the station and we give you even more support materials when you give a pledge. whatever giving level is right for you, that's up for you, but get to the phone right now and make a pledge of support to public tv. man: i had heard very little about vegan diet before i picked up this book by dr. neal barnard on reversing diabetes, so i've been on it roughly
five months and i now like the crunchiness of a carrot or romaine lettuce or a smoothie made with kale. right within the first few weeks, about two or three weeks i noticed the effect on blood sugar, as long as i stayed with the vegetables and avoided the high glycemic index stuff you had an impact, another way of controlling blood sugar. narrator: read more about dr. neal barnard's scientifically proven system to reversing diabetes with his book for your $90 gift to this station. more than a diet, dr. neal barnard's proven system is a lifestyle and public tv is a viewing lifestyle, join as a member now with your gift of $90 to receive this book. diane bliss: well doctor thank you so much for bringing this body of work to public television and for your creative recipes and
there are literally hundreds and hundreds of recipes that are non-duplicated between these books and the dvd. dr. neal barnard: exactly, you get a lifetime supply of recipes here and there are tastes for everybody and every single one is a healthy low fat recipe that you're going to be delighted to serve to your family. diane bliss: and so no matter what your tastes there will be something to suit your taste, just like public television and speaking of which how do you feel, personally, about the whole thing called public television. dr. neal barnard: i love public television, it, it, i have to tell you, the other night i was watching one of the other channels and i flipped over to my public station and they, they were just finishing up a yo-yo ma concert and as the credits started to run i was almost grabbing my tv saying, why didn't i switch over earlier, so anyway, i also have to say that when i watch the news it's not interrupted by snack food commercials! so let's join, we're doing this together, thank you i really appreciate public television getting the word out. diane bliss: and we appreciate you, so thank you. and thank you doctor.
>> narrator: scallops of sand, endless meanders of marsh and tidal creek. if the shoreline of the chesapeake bay could be unraveled it would stretch from the east to west coast and back. the chesapeake is the country's largest estuary, where saltwater mixes with fresh. 200 miles long, three miles across at its narrowest, nearly 30 at its widest.
yet for hundreds of square miles it is knee-deep. romance clings to the private coves, the wawary sunsets, the smell in the breeze. there is, perhaps, a tendency to long for what has been lost of its heritage. but soaring above, we see how much of it remains, and the incredible beauty held in its embrace. anyone who has ever hauled a catch from its depths, loafed the small towns that ring it, beheld the marshes blazing in the sun, or skimmed the surface, knows it's more than just a place on the map. experience the treasured chesapeake, her famous landmarks, natural wonders, cities, towns, and preserves
engorged by the melting waters of glaciers ten thousand years ago at the end of the last ice age. named for the native susquehannocks who lived along the riverbanks, its headwaters begin far to the north, flowing down through pennsylvania and new york state, into the chesapeake bay and out to sea. conowingo is native susquehannock for "at the rapids." here, at those rapids, a hydroelectric plant harnesses the surging momentum of the river.
smith island fishermen, a fiercely independent breed, heed the call of the water and chart the very same courses of their forbearers, doing what 13 generations before have done since the first settlement at jamestown in 1607. for hard-working watermen, the bay has always held the promise of plentiful rewards. pound nets jut from the shore